Provider Demographics
NPI:1033151584
Name:GMA-UNIONTOWN INC
Entity Type:Organization
Organization Name:GMA-UNIONTOWN INC
Other - Org Name:LAUREL RIDGE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CORPORATE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JANE
Authorized Official - Middle Name:
Authorized Official - Last Name:DROPESKEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-925-4231
Mailing Address - Street 1:101 E STATE ST
Mailing Address - Street 2:
Mailing Address - City:KENNETT SQUARE
Mailing Address - State:PA
Mailing Address - Zip Code:19348-3109
Mailing Address - Country:US
Mailing Address - Phone:610-925-4436
Mailing Address - Fax:610-925-4351
Practice Address - Street 1:75 HICKLE ST
Practice Address - Street 2:
Practice Address - City:UNIONTOWN
Practice Address - State:PA
Practice Address - Zip Code:15401-4350
Practice Address - Country:US
Practice Address - Phone:724-437-9871
Practice Address - Fax:724-438-8842
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-11
Last Update Date:2022-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA381002314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
12731OtherELDER HEALTH
PA1007302520001Medicaid
000395243OtherMOUNTIAN STATE
271895OtherUNITED - MAMSI
395243OtherHIGHMARK - MEDICARE
924148OtherAETNA-HMO
110775OtherUNISON UNISON ADVANTAGE
0469OtherHIGHMARL - BLUE CROSS
110775OtherUNISON - MED PLUS
271895OtherUNITED - MAMSI
12731OtherELDER HEALTH
000395243OtherMOUNTIAN STATE
924148OtherAETNA-HMO
=========OtherUPMC HEALTH PLAN
0469OtherHIGHMARL - BLUE CROSS